Organization Active NPI

Maltese Medical Response

  • Land Ambulance
  • Douglasville, GA
National Provider Identifier
1316443153
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MALTESE MEDICAL RESPONSE
Practice address
4406 Central Church Rd
Douglasville, GA 30135-2762
Phone
(404) 354-2874
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Paul Parker
Title
Co-Owner
Phone
(404) 354-2874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X GA Primary

Addresses

Primary practice location

4406 Central Church Rd
Douglasville, GA 30135-2762

Mailing address

4406 Central Church Rd
Douglasville, GA 30135-2762
Phone (404) 354-2874

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1316443153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 CENTRAL CHURCH RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352762",
            "telephone_number": "404-354-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 CENTRAL CHURCH RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352762",
            "telephone_number": "404-354-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTESE MEDICAL RESPONSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-354-2874"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.